Zomwe ziyenera kuchitidwa ngati magazi a 2323

Magawo a shuga 23 ndi njira yodziwika bwino yokhudzana ndi kuchuluka kwa shuga m'magazi. Kuopsa kwa zizindikiro zotere kuli pachiwopsezo chachikulu cha zovuta, komanso kumawonjezera mwayi wokhala ndi zovuta zoyipa.

Matenda a shuga ndi njira yomwe imafunikira kuwunikira mosamala komanso mosamala kuti muchepetse zovuta zomwe zingachitike. Pachifukwa ichi, odwala amawunika kuchuluka kwa glucose m'magazi, amatsata zakudya zamtundu wapadera.

Maziko a chithandizo cha matenda a shuga mellitus ndi katundu wambiri, zomwe zimapangitsa kuti chiwopsezo cha minofu yofewa chikhale ndi insulin. Kuphatikiza apo, mankhwala osokoneza bongo kapena insulini angalimbikitsidwe.

Talingalirani chifukwa chomwe shuga amakwera magazi, ndipo muyenera kuchita chiyani pamenepa? Momwe mungabweretsere pansi shuga, ndipo ndi njira ziti zomwe zingathandize?

Momwe mungasinthire zizindikiro?

Chifukwa chake, ndichitenji ngati magazi anga atasiya 23 kapena kupitirira? Choyambirira, ndi zizindikiro za glucose zotere, muyenera kufunsa thandizo kwa katswiri, chifukwa izi zomwe zili m'magazi zimatanthawuza zovuta zambiri.

Kachiwiri, ndikofunikira kuwerenganso menyu. Zochita zachipatala zimawonetsa kuti kuchuluka kwa shuga mthupi la munthu ndi zotsatira za kuperewera kwa thupi, kulephera kutsatira zakudya zomwe amalimbikitsa. Mwachitsanzo, kugwiritsa ntchito zakudya zamafuta, zakudya zotsekemera, ndi zina zambiri.

Ndikulimbikitsidwa kuti muchepetse glucose kudzera muzakudya zomwe zimaphatikizapo zakudya zomwe sizikhala ndi zakudya zopezeka nthawi yomweyo. Masewera a glucose akapezeka mwa wodwala, chakudya chochepa kwambiri cha carb ndipo palibe chomwe chingamuthandize.

Monga tafotokozera pamwambapa, shuga wamagazi pamwamba pa mayunitsi 20 amatanthauza kuti pali kuphwanya magwiridwe antchito a kapamba, omwe amakhala ndi zotsatirapo zingapo zoyipa, kuphatikiza osasinthika - kulumala, ngakhale kufa.

Chizindikiro chamagulu oposa 23 chimayimira zoopsa zomwe zimawopseza anthu odwala matenda ashuga, chifukwa chake muyenera kulumikizana ndi dokotala. Malinga ndi zotsatira za mayeso a labotale, adotolo azikupatsirani mankhwala oyenera, omwe ali ndi mankhwala osokoneza bongo, chakudya chamagulu, zochitika zamasewera, mwina insulin.

Nthawi zambiri, insulin imalimbikitsidwa panthawi yomwe zakudya, masewera olimbitsa thupi, komanso mankhwala ochepetsa shuga sizithandiza kukwaniritsa kuchuluka kwa glucose m'magazi.

Zochita zimawonetsa kuti zakudya zosachepera carb mu shuga zimapereka kusintha kwa wodwalayo, mosasamala mtundu wa matenda ake. Matenda a shuga amawonekera pakatha masiku 3-4 atasintha menyu.

Chifukwa chake, ndizotheka kuchepetsa shuga m'magazi, komanso kuchuluka kwa matekinoloje, omwe mu zithunzi zambiri zamankhwala amatsagana ndi matenda okoma.

Kuti musinthe menyu anu, muyenera kugwiritsa ntchito njira yapadera yophikira.

Sizimangoyambitsa kutsika kwa glucose, komanso zimathandizira kusintha kwathunthu.

Chifukwa chiyani shuga amakwera magawo 23?

Miyezi ya shuga m'thupi la munthu imatha kusiyanasiyana chifukwa cha kubereka kwa mwana, mkhalidwe wopanikizika, kusokonezeka kwamanjenje, ma pathologies angapo a sekondale komanso zina.

Mphindi yabwino ikhoza kupezekanso pakukula kwa glucose, chifukwa umu ndi momwe thupi la munthu limawonetsera kuphwanya magwiridwe ake, motero, chidwi chokwanira pa thanzi lanu chimafunikira.

Monga lamulo, kuchuluka kwa shuga kumawonedwa mu zithunzi zamatendawa pamene wodwala ali ndi mbiri yovuta pakukonza chakudya.

Ganizirani zomwe zimayambitsa kuchuluka kwa shuga m'magawo 23 kapena kupitilira:

• Chakudya chopanda malire: kumwa zakudya zambiri zopanda pake, chakudya, zakudya zotsekemera. Pambuyo pa chakudya, munthu (ngakhale munthu wathanzi) nthawi zonse amakhala ndi chiwopsezo cha shuga, popeza pali makonzedwe othandizira a chakudya omwe amamwa.
• Zochita zamagalimoto ochepa. Zochita zilizonse zolimbitsa thupi zimakhudzanso shuga mu thupi, chifukwa chomwe amachepetsedwa.
• Kutengeka mtima. Ngati munthu ali wamanjenje, akukumana ndi kupsinjika kwamphamvu kwamalingaliro, ndiye kuti kusiyanasiyana kwa shuga ndi kuwonongeka m'moyo wabwino kumatha kupezeka.
• Kumwa mowa, kusuta fodya ndi zinthu ziwiri zomwe sizongolepheretsa kugwira ntchito kwa thupi lathunthu, komanso zimapangitsa kuchuluka kwa shuga m'magazi.
• Kuperewera kwa mahomoni. Mwachitsanzo, mwa azimayi, nthawi ya kusamba, shuga wamagazi amawuka.

Chifukwa chake, zochitika zonsezi pamwambapa zimatha kusintha kusintha kwa glucose m'thupi la munthu. Monga lamulo, m'mafanizo azachipatala awa, kudumpha mu shuga ndi kwakanthawi.

Ngati tichotsa zomwe zimayambitsa kuchuluka kwa shuga, ndiye kuti kwakanthawi kochepa, shuga azitha kukhala magawo a 5.0-6.0, ndiye kuti, abwerera mwakale.

Shuga wapamwamba komanso thanzi la anthu

Mitundu yonse yamatenda amtundu wa anthu imatha kubweretsa kuchuluka kwa shuga, omwe amagawidwa malinga ndi gawo lomwe lakhudzidwa.

Mwachitsanzo, mavuto amtundu wa endocrine chifukwa cha kupsinjika kwa mahomoni angapangitse kuti pakhale matenda "okoma" amtundu uliwonse, matenda a Cushing. Mu chithunzi ichi cha chipatala, zomwe zimakhala m'magazi zimachuluka komanso kuchuluka kwa mahomoni.

Matenda a kapamba, mwachitsanzo, kapamba ndi mitundu ina ya chotupa, amathandizira kuchepa kwa maselo a insulin, omwe amasokoneza ma metabolic a mthupi.

Matenda ngati amenewa amachititsa kuti shuga awonjezeke:

1. Kumwa mankhwala ena omwe amakupangitsa kuchuluka kwa shuga m'magazi. Izi zimaphatikizapo mitundu yosiyanasiyana ya mapiritsi a mahomoni, diuretics, mankhwala a steroid, makapisozi othandizira kubereka, etc.
2. Matenda a chiwindi, pomwe shuga amasungidwa mu mawonekedwe a glycogen. Ntchito ya chiwalochi ikasokonekera, glucose imadziunjikira m'magazi a munthu. Matenda - matenda a chiwindi, chiwindi, zotupa ndi matenda ena.

Ngati wodwala wodwalayo alumpha pazifukwa izi, ndiye kuti ndikofunikira kuchitapo kanthu poyang'ana gwero lake.

Zachidziwikire, ngati munthu ali ndi kuchuluka kwa shuga kukhala magulu 23 kamodzi kokha - izi sizikutanthauza kukula kwa mtundu 1 kapena mtundu wa matenda ashuga 2, koma muyenera kusamala kwambiri ndi thanzi lanu.

Muyenera kuwunika zakudya zanu, kudya zakudya zamafuta ochepa, kuchita masewera olimbitsa thupi tsiku ndi tsiku.

Ndikulimbikitsidwa kwambiri kuti muziwongolera shuga ndi mita yapadera - glucometer.

Nanga bwanji ngati shuga ali pamtunda wama 23?

Choyamba, wodwalayo ayenera kusintha menyu. Ndi kuchuluka kwa shuga, kuthira zakudya zapadera kumalimbikitsidwa, zomwe zimatanthawuza kuphatikizidwa kwa chakudya chofulumira, wowuma.

Wodwala akayamba kunenepa kwambiri kapena amayamba kunenepa kwambiri chifukwa cha madontho a shuga, ndikofunikira kuganizira za kudya calorie, ndiye kuti, muyenera kudya zakudya zamafuta ochepa. Nthawi yomweyo, zinthu zomwe zimalemedwa ndi zinthu zofunikira, mavitamini ndi michere yamafuta zimaphatikizidwa menyu.

Ngati shuga wambiri wapezeka, dokotalayo poyamba amalimbikitsa njira zosagwiritsa ntchito mankhwala osokoneza bongo, ndiko kuti, zakudya ndi masewera. Ngati pakatha miyezi isanu ndi umodzi sikutheka kulandira chithandizo chamankhwala, ndiye kuti mankhwala ochepetsa shuga ndi omwe amapatsidwa mtundu wa matenda a shuga a II.

Zomwe zimapatsa thanzi ndi shuga wambiri:

• Menyuyi imalimbikitsa kuphatikizapo zakudya zomwe zimakhala ndi mapuloteni okwanira, mafuta ndi chakudya.
• Mukamasankha zakudya, muyenera kuyang'ana pa index ya glycemic ya chinthu china. Gome ili likhoza kutsitsidwa pa intaneti.
• Ndikofunikira kudya pafupipafupi, koma m'magawo ang'onoang'ono, ndiye, chakudya chamagulu. Monga lamulo, njira yabwino kwambiri ndiyo chakudya 5-7 patsiku.
• Pewani zinthu zoyipa kuchokera pamenyu: zakumwa zoledzeretsa, zakumwa zoziziritsa kukhosi, chakudya mwachangu, etc.
• Zakudya zazikulu zimaphatikizapo zipatso ndi masamba, zitsamba, zipatso, mapuloteni.

Kuchita kumawonetsa kuti kudya moyenera komanso moyenera sikuti kumangochepetsa kuchuluka kwa shuga m'magazi, komanso kumachotsa zisonyezo zoyipa zomwe zimawoneka motsutsana ndi maziko a shuga okwanira.

Magazi a glucose amatha kuwongoleredwa kudzera muzakudya ndi masewera. Chithandizo choterechi chimathandizira kuti shuga asamafalikire, motero, mwayi wopanga njira zam'mbuyo zomwe zimawonekera motsutsana ndi matenda osokoneza bongo amachepetsedwa.

Zambiri pazomwe zimayambitsa komanso chithandizo cha hyperglycemia zimaperekedwa mu kanema munkhaniyi.

Mwazi wa Magazi 23 - Zimatanthauzanji?

Hyperglycemia syndrome imagawanika kukhala:

• kuuma pang'ono - mpaka ma 10,
• sing'anga - mpaka 16 ndi wolemera - kuyambira magawo 16,
• precomatose state - zopitilira 16.5,
• hyperglycemic chikomokere - oposa 55,5 mmol / l.

Zomwe zimathandizira kukulira kuchuluka kwa glucose ku 23.1 zitha kukhala zakuthupi ndi zamagulu:

• kuperewera kwa insulini pakukula kwa matenda a shuga a mtundu woyamba kapena wachiwiri,
• kutupa kapena njira ya oncological yomwe imachitika mu kapamba,
• zovuta za endocrine
• matenda opatsirana kapena ma virus,
• matenda a chiwindi
• chibadwa
• kumwa kwambiri zakudya zopatsa mphamvu kwambiri,
• zamaganizidwe amisala kapena kuthupi,
• Kugwiritsa ntchito mankhwala osokoneza bongo, zotsatira zoyipa zomwe zimapangitsa kuti glucose azingidwe kwambiri.
• kusakwanitsa kwa mahomoni.

Pamaso pa glucose m'magazi pamagulu a 23.2-23.3 mwa wodwala, zotsatirazi zimawonekera:

• kukodza mwachangu (ngakhale usiku),
• ludzu losatha ndi pakamwa pokhazikika
• kuchepa kapena kuchepa thupi popanda chifukwa chodziwika,
• kupenya kowoneka bwino,
• khungu lowuma
• dzanzi, kumva kuwawa, kupweteka m'miyendo,
• ulesi, kupanda mphamvu, ntchito yochepa,
• kukwiya, kusakwiya, kusasangalala,
• kupuma kwamkati.

Ndiyenera kuchita mantha

Pokhala ndi shuga wambiri m'magazi, munthu amakhala atatopa nthawi zonse. Glucose owonjezera amawononga thupi pang'onopang'ono, zomwe zimatsogolera pakukula kwa njira zingapo zowopsa za matenda ndi zovuta zamagulu:

• khungu louma, lotupa
• kuwonongeka kowonekera pakuwoneka bwino ndi kuwonongeka kwa retina,
• furunculosis,
• kunenepa
• kuchuluka kwa cholesterol yoyipa,
• kusintha kwasinthidwe,
• thrombophlebitis,
• lameness, gangore,
• kusowa pogonana mwa amuna
• angina pectoris ndi mavuto ena a mtima,
• ketoacidosis - chozizwitsa chomwe kuchuluka kwa matupi a ketone m'magazi ndi mkodzo kumawonjezeka
• hyperglycemic chikomokere.

Mwazi wamagazi ungathe kutsimikiziridwa mwa kuyezetsa magazi kotsimikizika, kuyezetsa kwamkodzo ndi magazi, ndi kuyezetsa kwamwazi wamagazi. Ndi kuchuluka kwa shuga kwa nthawi yayitali m'magazi amtundu wa 23,4-23,5 ndi wapamwamba, mayeso owonjezera amachitika, omwe amalembedwa ndi endocrinologist. Kuti mupeze komanso kupewa matenda ashuga, ndikofunikira kukaonana ndi ophthalmologist, cardiologist, neurologist. Amauza wodwalayo zoyenera kuchita akazindikira mtundu wina wa matenda, komanso momwe angapewere kupitilira kwake.

Zoyenera kuchita ngati shuga ali pamwamba 23

Njira zochizira zothetsera kukhazikika kwa shuga m'magazi zimachokera pakuchotsa matenda omwe amayambitsa kukula kwa matenda. Ndi hyperglycemia yosagwirizanitsidwa ndi matenda a shuga, kusintha kwa moyo wawo komanso kusintha kwa zakudya zomwe zimachitika kumakupatsani mwayi kusintha shuga.

Pa mtundu woyamba wa matenda a shuga omwe amadalira insulin, jakisoni wambiri wa insulin amachititsa kuti magawo azikhala ndi shuga. Matenda a shuga a mtundu wosadalira insulini amaphatikizapo kugwiritsa ntchito mankhwala ochepetsa shuga komanso kukonza zakudya.

Pofuna kupewa chitukuko cha zikomokere zikayamba kuonekera kwambiri shuga, ndikofunikira kupereka chithandizo kwa omwe akukhudzidwayo:

• kuyeza mulingo wa glycemia. Ndili ndi mtengo wa mayunitsi 23.6-23.7 ndipo pamwamba, imbani ambulansi,
• akatswiri asanafike kuti apatse chakumwa pamaso pa akatswiri.
• muli pabwino, pukuta mphumi, khosi ndi manja.
• yang'anani mpweya wanu. Ngati ikuphwanyidwa, khazikitsani mtima pansi.

Ku chipatala, mulingo woyenera wa insulin umaperekedwa kwa wodwala ndipo amalandira chithandizo choyenera. Kwa osadalira shuga omwe amadalira insulin, mankhwala amkamwa a magulu osiyanasiyana antidiabetic amagwiritsidwa ntchito, mwachitsanzo:

1. Metformin - mankhwalawa ndi a gulu la Biguanides. Mfundo ya mchitidwe wake ndikuwonjezera chidwi cha minyewa pazovuta za insulin, kusintha magazi m'magazi, komanso kuchepetsa kuchuluka kwa ma capillaries. Matenda akulu a chiwindi, kholo la anthu odwala matenda ashuga, amasiyanitsidwa ndi contraindication.
2. Glimepiride ndi mankhwala okhudzana ndi sulfonylurea. Kuchita kwake ndikulimbikitsa maselo a pancreatic kuti apange insulin. Mankhwala amakwaniritsidwa kubala mwana, matenda a chiwindi ndi impso. Kulandila kumayamba ndi mlingo wochepera. Kenako pang'onopang'ono onjezerani zomwe zimachitika pakuchiritsa.

Zakudya zamagulu

Ngati kuchuluka kwa ndende ya glucose kukwera mpaka malire a mayunitsi a 23.8-23.9, ndikofunikira kusintha kachitidwe ka zakudya pogwiritsa ntchito zakudya zama carb ochepa. Dokotala wa endocrinologist kapena wothandizira zakudya ayenera kuuza wodwalayo zoyenera kuchita kuti apewe mfundo zoyipa ndi kukhazikitsa zotsatira zowopsa.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wapamwamba wa mankhwalawa. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Musachokere ku menyu - pasitala, mkate kuchokera ku premium ufa, maswiti (kuphatikizapo chokoleti), shuga, mpunga woyera, semolina, mbatata.

Zakudya za tsiku ndi tsiku ziyenera kukhalapo - Zakudya zamtundu wa nyama / nsomba, masamba, zipatso zopanda zipatso, ma nyemba, mafuta am'mizere, chimanga (makamaka Buckwheat ndi oatmeal), mafuta a masamba, mkaka wopanda mafuta wokhala ndi mkaka, chicory.

Odwala akulimbikitsidwa:

• kudya pang'ono, koma nthawi zambiri 5-6 patsiku m'magawo ang'onoang'ono,
• onjezani kuchuluka kwa mapuloteni omwe adalowetsedwa ndi chakudya,
• Imwani madzi okwanira malita atatu patsiku (madzi oyera ndi mankhwala a zitsamba, ma compotes opanda shuga, kulowetsedwa kosiyanasiyana, tiyi ndi oyenera),
• idyani zipatso ndi masamba ambiri
• yang'anani boma lantchito ndi kupumula,
• zolimbitsa thupi tsiku ndi tsiku. Zoyenera izi ndikusambira mu dziwe, kuwunika pang'ono, kuyenda mumlengalenga, kuyenda njinga, masewera olimbitsa thupi m'mawa,
• kukana zokazinga, zonunkhira, zinthu zosuta, soseji, mankhwala omalizidwa.

Njira zina

Njira zachikhalidwe zosagwiritsa ntchito zachikhalidwe zitha kugwiritsidwa ntchito pokhapokha mutakambirana ndi dokotala. Njira zodziwika bwino komanso zothandiza ndizothandiza:

1. Mafuta ochiritsira mabala amtundu wautali, osachiritsika, nthawi zambiri amawonekera pa odwala matenda ashuga. Kaloti watsopano amangopendedwa ndi kupukutidwa. Amayikidwa mchidebe chaching'ono ndikuthira pamwamba ndi mafuta a masamba. Kenako simmer mu madzi osamba kwa mphindi 15, ozizira, Finyani cheesecloth. Zomwe zimapangidwira zimasungidwa mufiriji ndikugwiritsa ntchito ngati pakufunika.
2. Rhizome wa horseradish. Chipatso choyeretsedwa chimachapidwa ndikusakanizidwa ndi mkaka wowawasa mu chiyezo cha 1:10. Tengani supuni yayikulu katatu patsiku chakudya chachikulu chisanachitike. Chida ichi chimayambitsa kuchepa pang'onopang'ono m'miyeso ya shuga m'magazi.
3. Lilac Masamba amtengowo amapangidwa ngati tiyi ndikuledzera monga amafunira popanda malamulo, osasamala chakudyacho. Komanso mu kasupe, mutha kutenga masamba a chomera ndi supuni ziwiri zazikulu za zopaka kutsanulira makapu awiri a madzi otentha. Kuumirira maola 6, kupsyinjika, tengani masana, kugawa zomwe zichitike katatu.
4. Madzi a mandimu amamezedwa ndikuphatikizidwa ndi dzira laiwisi. Menyani, ndikumwa tambala lodyera pamimba yopanda kanthu kwa masiku atatu motsatizana. Pambuyo masiku 10, maphunzirowo abwerezedwa. Izi Chinsinsi amachepetsa shuga bwino.

Kuchulukana pafupipafupi kwa shuga m'magazi kumafuna chisamaliro chamankhwala mwansanga komanso kusintha kwa zakudya. Chithandizo chapanthawi yake imapewetsa zovuta zambiri komanso zimathandiza wodwalayo kuti azichita bwino.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>